Individual
DIANA L COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
39 1/2 WEDGEWOOD DR STE 1023, JEWETT CITY, CT 06351-2439
(860) 497-0024
Mailing address
39 1/2 WEDGEWOOD DR STE 1023, JEWETT CITY, CT 06351-2439
(401) 290-7216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
185
NH
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
002526
CT
Other
Enumeration date
11/01/2012
Last updated
02/23/2021
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